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West Virginia rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Facilitymedian $1 · 10th–90th $1–$40%50%90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.62 / $3.39
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.98 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.45 / $2.14